Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evelyn Wangsa

Individual provider Primary Care Nurse Practitioner · NPI 1407303753

Evelyn Wangsa is a Nurse Practitioner in San Gabriel, California. Qualified in 2016, 10 years ago. Practices with Wound Saviors Advanced Medical Group Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016

Practice location Address checks out

161 W Fairview Ave
San Gabriel, CA 91776-2959
Phone: (562) 293-8777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95004913 (CA)

Record details

NPI number1407303753
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2016
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address161 W Fairview Ave, San Gabriel, CA 91776-2959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wound Saviors Advanced Medical Group Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount